Provider Demographics
NPI:1235011347
Name:SIMS-MONIE, STANISHA NE'KEYLA (RN)
Entity type:Individual
Prefix:
First Name:STANISHA
Middle Name:NE'KEYLA
Last Name:SIMS-MONIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 HOLLYWREATH CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-4640
Mailing Address - Country:US
Mailing Address - Phone:937-260-2550
Mailing Address - Fax:
Practice Address - Street 1:4840 HOLLYWREATH CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-4640
Practice Address - Country:US
Practice Address - Phone:937-260-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH457343163WC0400X, 163WG0000X, 163WH0200X, 163W00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No251J00000XAgenciesNursing Care